Permit C ITY OF TIGARD MECHANICAL PERMIT
I DEVELOPMENT SERVICES PERMIT #: MEC2006 - 00525
`� I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/30/2006
PARCEL: 2 S 103RD -01500
SITE ADDRESS: 10805 SW PATHFINDER WAY ZONING: R - 4.5
SUBDIVISION: PATHFINDER LOT: 006 JURISDICTION: TIG
Project Description: Furnace replacement
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: — VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
GAS 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
ROGERS, DAVID B LYNNE M Description Date Amount
10805 SW PATHFINDER WAY
TIGARD, OR 97223 [MECH] Pennit Fee 10/30/20( $72.50
[TAX] 8% State Surcha 10/30/20( $5.80
Total $78.30
Phone: 503- 799 -5344
Contractor:
SPECIALTY HEATING & COOLING
7500 SW TECH CENTER DR #130
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503 -598 -0718
PRI 503- 620 -5643
Reg #: LIC 66578
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By: 44744> Permittee Signature:
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept In a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each Inspection.
10/30/2006 10:18 FAX 503 598 0718 SPECIALTV_HEATING a 002/002
-
'Mechanical Permi " •t " 't ' Anel at n FOR OFF IC I 11SF ON
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City of Tigard Received
13125 SW Hall Blvd., Ti 16 0 3 0 Y' Q O � a; Permit No. u � (�' - O
Tigard. OR 9 Plan Rov
Phone: S03.639.4171 Fax: 503.59 , r; + .; Date/By: OthaPermir:
Inspection Line: 503.639.4175 1
ard.or.ue , "+ 11 I. " I I ' pate ReadyReady/By: ;
B <i1i.I I Ur i tLiii►3 -i, .:. Notified/Method: S Sea ant l lint
Internet www.ci.tig•ard.or.us 9upPlemeotallnformation
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❑ New construction ❑ Addition /alteration/replacement Mechanical permit fees' are based on the value of the work
l
performed, Indicate the value rounded to the nearest dollar of all
❑ Demolition ❑ Other: ( )
mechanical materials • i•men
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j ej I- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building
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❑ Multi fatnil For special information use checklist
y ❑ Master builder 0 Other:
I :;fij: :I :'vI ^s7.e "' + ^ :m_ - r.rq: ,,,1 �y: Description Qty. Ea. Total
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Job site address: V ../1-64.-. Air conditioning or heat pump
� i ;ni.L r -. 'res site . Ian showin: .[seamen 14.00
City /State/ZIP: Furnace 100,000 BTU duets/vont! II/- 14.00
Suite/bldg./apt. Furnace 100 000+ BTU duets/vents 17.90
g./ept. no.: Project name:
Gas heat . um. 14.00
Cross street/directions to job site: Duct work 14.00
H dronic hot water tem 14.00
Residential boiler (radiator or
h dronic 14.00
Unit heaters (fuel-type, not electric), ,
in -wall, in -duct sus . dad etc. 10.00
Subdivision : Lot no -: Flue/ventfor = of above 10.00
Other 10.00 _
Tax map /parcel no.: Other fuel a r liances
A r r , , il 1 ov u nry r .ry 1 ,r"IYr J�i�:k. iii IJ r1 , fill h[ I'
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I 1 . 4 ' i,,, t1 1J a'd.J ,1G.,.i.I, I�Jt “.' „ ,Jal l l l �l Water heater 10.00 -
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Gas fir • lace 10.00
Flue vent fbr water heater or gas
111111111M J fire . lace 10.00
• •= = - :' 10.00
Wood/. !let stove 10.00 _
Wood fire.1aee/insert 10.00
{ I ' Ili 1 I aJ J 1Ir:r,:'_, ti? 1 7 ,7 1 " j F ;0i 1 1;,j III'IrmL fir`{ ! + �rl�Jlwi II I1 , 1 `I t } I Chimne /liner/flue/vent INN 10.00
!;: �1..(,v'L..Luv.i, s•,,!,,, J , r +:" Other. 10.00
Name: Rogers, Dave R06372 Environmental exhaust and ventflatioe
Address: 10805 SW Pathfinder Way Micif 1000
City /State/Z1P. Tigard, 97223 Clothes d - exhaust 10.00
(503)799 -5344 Single -duct exhaust (bathrooms,
Phone: ( ) toilet cam. rtments. utili rooms 6.80
"1), 1' - ,,..di I,J . ' r ir.j ,I. des 1 :.., .',� ; i . '.' ,, J4 Ili, r TT 11 '� i J 1 k wls• ace fans 10,00
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Other: 10.00
Business name: , ,. - - • i . dit , • I i • J Fuel , i • in •
Contact name SS.40 for first four; $1.00 for each additional
Address: Furnace etc.
• • ' • 4 , - 0 Gas heat • um • __-
• Wall /su. • ended/unit heater _ --
Water heater
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Fire • lace
E-mail: Ran .e
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C i ty/S tataZIP: OR 9 7 _ Subtotal
Phone: 6 . ) m Fax: - - • 1
Minimum permit fee ($72.50)
Plan review (25% of permit the)
State surcharge (8% of permit fee) _
'f OTAL PERMIT FEE , . ,) C
Authorized signature: 0....01./44 el - This permit application expires if a permit Is not obtained within 180
/ �� days after It has been accepted al complete.
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I Print name: �L" D f _ I Date; l q50/ 0 6. • fee methodology set by Tri- County Building indtat Service Board
aBuIld lnAPermhsUNEC- PennhApp.dea 12101 4404617T(II/02/COM/w!0)
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006 -00525
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/3012006
Phone: (503) 639-4171 ° � i
Inspection Requests (24 Hrs.): (503) 639 -4175 A
INSPECTION WORKSHEET FOR DATE: 12/812006 TIME: 7 :01AM PAGE: 60
SITE ADDRESS: 10805 SW PATHFINDER WAY CLASS OF WORK:
SUBDIVISION: PATHFINDER LOT #: 006 TYPE OF USE:
PROJECT NAME: ROGERS
DESCRIPTION: Furnace replacement
OWNER: ROGERS, DAVID B LYNNE M, PHONE #: 503 - 703.5344
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503 -620 -5643
Inspection Request Scheduled For: Date: 12/8/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 040717 -02 503 - 620.5643 Y
Corrections /Comments / Instructions:
if
r/4 -ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: r / � Date: 12/1#6_ Phone #: (503) 718 - 9